Provider Demographics
NPI:1053079954
Name:AFFECTRIX LLC
Entity Type:Organization
Organization Name:AFFECTRIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-329-2669
Mailing Address - Street 1:73543 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005-4790
Mailing Address - Country:US
Mailing Address - Phone:313-329-2669
Mailing Address - Fax:313-528-2078
Practice Address - Street 1:12550 WEST COLFAX AVE
Practice Address - Street 2:SUITE 113-115
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3748
Practice Address - Country:US
Practice Address - Phone:313-528-2199
Practice Address - Fax:313-528-2078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies